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New Mexico rates for HCPCS 96573

Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day

Facilitymedian $447 · 10th–90th $251–$1,4130%20%10th90th$447Professionalmedian $251 · 10th–90th $191–$5620%20%10th90th$251$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $251.19 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $912.01 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $199.53 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $251.19 / $363.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $309.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $309.03 / $436.52
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $275.42 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,096.48 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $295.12 / $389.05